Online Application for OACP LIFE Membership

I am applying for LIFE Membership

YES

Retirement Date

Name

First

Last

Phone:*

E-mail:*

Resident Address:

Street Address Street Address Line 2 City State Postal / Zip Code

I am a graduate of (select all that apply)

STEP

PELC

CLEE

SUBSCRIPTION: Fee is $25 per year. With a current email address, you will receive all correspondence as sent to Active Chief members including the Ohio Police Chief magazine. With no email address, you will receive a hard copy of all bi‐monthly member mailings.

SUBSCRIPTION $25

FEE WAIVED. Fee is waived for members who within the past 12 months, have actively participated in OACP activities and/or attended the Annual Conference. With a current email address, you will receive all correspondence as sent to Active Chief members including the Ohio Police Chief magazine. With no email address, you will receive a hard copy of all bi‐monthly member mailings.

FEE WAIVED

OH INACTIVE. There is no fee. This category is for those who reside in Ohio and only want to receive the district meeting notices and the Annual Conference information. With a current email address, you will receive the information electronically bi‐monthly or with no email address you will receive the information as a hard copy.

OH INACTIVE

By marking this box, please accept this as my signature:*

My Signature